孕产妇会阴管理的方法与效果

Methods and effects of perineum management in pregnant women

目的 探讨对孕产妇实施会阴管理的方法与效果.方法 将定期产检、自愿自然分娩的非高危孕产妇166例随机分为观察组85例和对照组81例,对照组孕产妇采用传统的产前健康教育,观察组在此基础上接受系统化的会阴管理培训,即在孕28～32周开始参加培训,采用多媒体教学和模拟演练等多种培训方式指导孕产妇盆底肌训练及分娩配合训练,并通过电话随访监督孕产妇坚持练习.结果 产妇会阴裂伤率、会阴切开率降低,第二产程时间缩短（P＜0.01）.结论 对孕产妇实施会阴管理可有效减轻会阴损伤、缩短第二产程.

Objective To explore the methods and effects of perineum management in pregnant women. Methods Totally, 166 pregnant women were randomly divided into the experimental group （n = 85 ） and the control group （n = 81 ）. Pregnant women in the control group were received routine prenatal health education ,while pregnant women in the experimental group were received systematic training of perineum management, which started at 28 - 32 gestational weeks, including improving pregnant women＇s cognition of perineum management and self management consciousness, method of perineum management, pregnant women＇s pelvic floor muscle training and delivery training through multimedia and simulation drilling, and pregnant women were supervised to keep practicing trough telephone follow - up. Results The incidence of pregnant women＇s perineal laceration and episiotomy were decreased, and the second stage of labor was shortened （ P 〈 0.01 ）. Conclusion Perineum management to pregnant women can effectively decrease perineum injury and shorten the second stage of labor.